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3581. Appendix D. Falls Engineer Instructions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapd.html
      December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix D. Falls Engineer Instructions Previous Page   Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Chapt…

3582. Tool 3 Continued | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool3a.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 3 Continued Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Rate…

3583. Chapter 6. Track Performance with Metrics | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide6.html
      May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 6. Track Performance with Metrics Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery …

3584. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
      June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action References Previous Page   Table of Contents Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action Introduction ED-to-Hosp…

3585. Advances in Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advances/index.html
      July 01, 2022 - Advances in Patient Safety Next Page Table of Contents Advances in Patient Safety Acknowledgments Preface Peer Reviewers for Volume 1. Research Findings Peer Reviewers for Volume 2. Concepts and Methodology Peer Reviewers for Volume 3. Implementation Issues Peer Reviewers for Volume 4. Pro…

3586. Tool 3 Continued | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool3a.html
      March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 3 Continued Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Rate…

3587. Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/healthited-issuebrief.pdf
      February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments e PATIENT SAFETY Issue Brief 4 Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments This page intentionally left blank. e Issue Brief 4 Health I…

3588. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
      January 01, 2022 - Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events ORIGINAL ARTICLE Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events Andrea Bradford, PhD,*† U…

3589. Appendix 2: CED Compiled Public Comment Themes (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
      June 02, 2025 - Appendix 2: CED Compiled Public Comment Themes Summary_Out of Scope Comments There were many comments that were outside of the scope of this project in that they addressed the CED process rather including when and how it should be implemented. Multiple comments proposed that AHRQ should undertake a similar exercise …

3590. Chapter 6. Track Performance with Metrics | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
      May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 6. Track Performance with Metrics Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery …

3591. Healthcare Safety Competencies Affinity Group Environmental Scan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
      March 27, 2025 - Healthcare Safety Competencies Affinity Group Environmental Scan Page 1 of 15 Healthcare Safety Competencies Affinity Group Environmental Scan, Resources, and Strategies version 4.7.2025 Table of Contents Background ...............................................................................................…

3592. Translating Patient Safety Research into Clinical Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Magid.pdf
      January 01, 2004 - Translating Patient Safety Research into Clinical Practice 163 Translating Patient Safety Research into Clinical Practice David J. Magid, Paul A. Estabrooks, David W. Brand, Marsha A. Raebel, Ted E. Palen, John F. Steiner, Eli J. Korner, David W. Bates, Richard Platt, Russell E. Glasgow Abstract There is…

3593. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
      January 01, 2005 - Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program 223 Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program Marilyn Flack, Terrie Reed, Jay Crowley, Susan Gardner Abstract The U.S. Food an…

3594. Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
      January 01, 2004 - Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety 151 Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety Myra A. Kleinpeter Abstract The Medical Center of Louisiana at New Orleans (MCLNO) provides care to primarily in…

3595. Final Progress Report: Mentored Implementation of I-PASS for Better Handoffs and Safer Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
      January 01, 2024 - Final Progress Report: Mentored Implementation of I-PASS for Better Handoffs and Safer Care AHRQ Grant Final Progress Report  Landrigan, Christopher P. Grant Award Number: 1R18HS023291‐01  Title Page Title of Project: Mentored Implementation of I-PASS for Better Handoffs and Safer Care Principal Investigator and…

3596. Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
      September 02, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief Issue Brief 10 Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators PATIENT SAFETY e This page intentionally left blank. e Issue Brief 10 Reinforcing the Va…

3597. Preventing CAUTI: What to Do When it’s Time for Plan B (November 4, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
      December 01, 2017 - Preventing CAUTI: What to Do When it’s Time for Plan B (November 4, 2014) Webinar Transcript American Hospital Association – Chicago November National Content Call November 4, 2014 11:00 AM CT Operator: The following is a recording for Kathy Drury with the American Hospital Association. This is the N…

3598. Rafael Borja (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
      November 04, 2014 - Rafael Borja American Hospital Association – Chicago November National Content Call November 4, 2014 11:00 AM CT Operator: The following is a recording for Kathy Drury with the American Hospital Association. This is the November National Content Call on Tuesday, November 4, 2014 at 11:00 a.m. Central Time. Excuse m…

3599. Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
      January 01, 2025 - Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners FINAL PROGRESS REPORT Bridging the Gap between EMS and Health Services Research: A Conference for Researchers an d Practitioners Project Team Members* Derek DeLia, PhD, Principal …

3600. Presentation: Implementing Your SSI Prevention Bundle
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
      December 01, 2017 - Presentation: Implementing Your SSI Prevention Bundle Implementing Your Surgical Site Infection Prevention Bundle AHRQ Safety Program for Surgery Implementation AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Implementation This module is about implementing your surgical site infe…